Displaying 53211-53220 of 1611142 results.
ID:
53211
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
855336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53212
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
855342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53213
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
855348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53214
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
855300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53215
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809730
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53216
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809738
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53217
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53218
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
53219
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
53220
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
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